Zagazig University Digital Repository
Home
Thesis & Publications
All Contents
Publications
Thesis
Graduation Projects
Research Area
Research Area Reports
Search by Research Area
Universities Thesis
ACADEMIC Links
ACADEMIC RESEARCH
Zagazig University Authors
Africa Research Statistics
Google Scholar
Research Gate
Researcher ID
CrossRef
Impact of the COVID-19 pandemic on hospitalizations for acute coronary syndromes: a multinational study
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohammed Abdullah Al- Mahmoud Altahlaoy
Staff Zu Site
Abstract In Staff Site
Journal:
QJM: An International Journal of Medicine OXFORD
Volume:
Keywords :
Impact , , COVID-19 pandemic , hospitalizations for acute coronary
Abstract:
Background: COVID-19 has challenged the health system organization requiring a fast reorganization of diagnostic/ therapeutic pathways for patients affected by time-dependent diseases such as acute coronary syndromes (ACS). Aim: To describe ACS hospitalizations, management, and complication rate before and after the COVID-19 pandemic was declared. Design: Ecological retrospective study. Methods: We analyzed aggregated epidemiological data of all patients > 18 years old admitted for ACS in twenty-nine hub cardiac centers from 17 Countries across 4 continents, from December 1st, 2019 to April 15th, 2020. Data from December 2018 to April 2019 were used as historical period. Results: A significant overall trend for reduction in the weekly number of ACS hospitalizations was observed (20.2%; 95% confidence interval CI [1.6, 35.4] P = 0.04). The incidence rate reached a 54% reduction during the second week of April (incidence rate ratio: 0.46, 95% CI [0.36, 0.58]) and was also significant when compared to the same months in 2019 (March and April, respectively IRR: 0.56, 95%CI [0.48, 0.67]; IRR: 0.43, 95%CI [0.32, 0.58] p < 0.001). A significant increase in door-to-balloon, door-to-needle, and total ischemic time (p <0.04 for all) in STEMI patents were reported during pandemic period. Finally, the proportion of patients with mechanical complications was higher (1.98% vs. 0.98%; P = 0.006) whereas GRACE risk score was not different. Conclusions: Our results confirm that COVID-19 pandemic was associated with a significant decrease in ACS hospitalizations rate, an increase in total ischemic time and a higher rate of mechanical complications on a international scale.
Author Related Publications
Mohammed Abdullah Al- Mahmoud Altahlaoy, "Role of MDCT renal angiography in determining the anatomical eligibility for renal sympathetic denervation in resistant hypertensive patients", Elsevier, 2018
More
Mohammed Abdullah Al- Mahmoud Altahlaoy, "Computed Tomography Imaging Assessment of the Effect of Vancomycin Paste on Poststernotomy Healing", Dovepress, 2021
More
Mohammed Abdullah Al- Mahmoud Altahlaoy, "Post infarction arrest with normal coronaries and delayed heart failure", Oxford, 2016
More
Mohammed Abdullah Al- Mahmoud Altahlaoy, "Does pulmonary hypertension impact clinical outcome or mortality in dilated cardiomyopathy patients?", Oxford, 2016
More
Mohammed Abdullah Al- Mahmoud Altahlaoy, "New ECG parameter comparable with echocardiographic data to detect successful balloon pulmonary valvuloplasty", Eur Heart J Cardiovasc Imaging Abstracts Supplement,, 2014
More
Department Related Publications
Mohammed Wafaay Moursy AboulEinein , "دراسة كتلة البطين الايسر باستخدام الفحص بالرنين المغناطيسى بالمقارنة بنتائج الفحوص الاخرى", لايوجد, 1900
More
Mohammed Hossam El Din Mohamed Shaer, "مجال الانبساط للبطين الايسر المتضخم تاثير المسبب ومرض الشريان التاجي على سرعات الدوبلر عبر الصمام الميترالى", مجلة جامعة الزقازيق الطبية, 1997
More
Mohammed Hossam El Din Mohamed Shaer, "العلاقة بين الاداء الانبساطي للبطين الايسر وقدرة تحمل القلب للمجهود ومدي اصابة الشريان التاجى الغير مرتبط بالاحتشاء", مجلة جامعة الزقازيق الطبية, 1999
More
Mohamed Ibrahim Mustafa AlAwadi, "مقارنة طريقة منطقة التقاء التدفق بالطرق التقليدية باستخدام الموجات الفوق صوتية للقلب مساحة الصمام الميترالى فى حالات ضيق الصمام الميترالى", مجلة جامعة الزقازيق الطبية, 2000
More
Tarek Abdelmoniem Abdelaziz, "Association of endothelial nitric oxide synthase gene polymorphisms with classical risk factors in development of premature coronary artery disease", 3, 2013
More
جامعة المنصورة
جامعة الاسكندرية
جامعة القاهرة
جامعة سوهاج
جامعة الفيوم
جامعة بنها
جامعة دمياط
جامعة بورسعيد
جامعة حلوان
جامعة السويس
شراقوة
جامعة المنيا
جامعة دمنهور
جامعة المنوفية
جامعة أسوان
جامعة جنوب الوادى
جامعة قناة السويس
جامعة عين شمس
جامعة أسيوط
جامعة كفر الشيخ
جامعة السادات
جامعة طنطا
جامعة بنى سويف